Provider Demographics
NPI:1720342967
Name:CAFE OF LIFE CHIROPRACTIC INC
Entity Type:Organization
Organization Name:CAFE OF LIFE CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:H
Authorized Official - Last Name:LAMPINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-674-9321
Mailing Address - Street 1:2555 COLLINS AVE
Mailing Address - Street 2:SUITE NUMBER C-4
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140
Mailing Address - Country:US
Mailing Address - Phone:305-674-9321
Mailing Address - Fax:305-674-9186
Practice Address - Street 1:2555 COLLINS AVE
Practice Address - Street 2:SUITE NUMBER C-4
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-4723
Practice Address - Country:US
Practice Address - Phone:305-674-9321
Practice Address - Fax:305-674-9186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7689111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381328200Medicaid
FL381328200Medicaid